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Work Activity Work Order <br />ISSUEd By SRA SORGEN, R06cRT A. <br />Issued Department aw PUBLIC WORKS <br />Date Issued nsnoio <br />,i�iz��_� -_3:�; <br />Fund �zo Account s Program sao Function �oa Activity bi� <br />Program <br />Tltle SIDEWALK REPLACEMENT 1701 MC�OUGALL 840108611 <br />Woik Order No 20101898 PfOJe.Ct Activiry Type CORRECTIVE MAINTENANCE SI8I115 CL <br />Stalus �i5rzoio Time �o.oe Originai WO Billing <br />Customer Information <br />Customer Name <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( 1 - Ext <br />Second Phone ( 1 • Ext <br />E-Mail Address <br />Problem Information <br />Address i�p� Street MCDOUGALL AVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Iniliated From <br />Utility Locale (USA) No Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments BILL TO: ROY GABRIO <br />6317 NORTHRI�GE DR <br />SNOHOMISH, WA. 98290 <br />Action Taken - ------ --------- <br />Customer ld <br />� <br />Change Map YIN <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />